PEDIATRIC PARTNERS PA
NPI 1932168606
Pediatrics in Fort Smith, AR
About Pediatric Partners Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEDIATRIC PARTNERS PA (NPI 1932168606) is a healthcare organization registered as a pediatrics in Fort Smith, Arkansas and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Jon R Hendrickson, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pediatric Partners Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Pediatric Partners PA, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 04D1026632
Pediatric Partners · Fort Smith, ARFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Pediatric Partners PA's NPI number?
The NPI number for Pediatric Partners PA is 1932168606. It was assigned to this organization in the NPPES registry on March 21, 2006.
Where is Pediatric Partners PA located?
Pediatric Partners PA is located at 7303 Rogers Ave, Fort Smith, AR 72903. The listed phone number is (479) 478-7200.
What is Pediatric Partners PA's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Pediatric Partners PA enrolled in Medicare?
Yes. Pediatric Partners PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pediatric Partners PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Pediatric Partners PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Pediatric Medicine (3) and Nurse Practitioner (1). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pediatric Partners PA hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 04D1026632) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Pediatric Partners PA accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 3 other insurers list Pediatric Partners PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pediatric Partners PA was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Pediatric Partners Pa · NPI 1932168606
Pediatrics organization in Fort Smith, Arkansas. Organization record, active in the CMS NPPES registry since March 21, 2006.
## Identity
- **NPI:** 1932168606 (Entity type: Organization)
- **Enumerated:** March 21, 2006
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Organization subpart:** No
- **Authorized official:** Jon Hendrickson, PRESIDENT
## Practice location
- **Address:** 7303 ROGERS AVE, Fort Smith, AR 72903-4112
- **Phone:** (479) 478-7200 · **Fax:** (479) 478-7225
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (3), Nurse Practitioner (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 5F086 (AR)
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1932168606) · Data from the CMS NPPES public registry.